Parent-child interaction therapy emotion development: a novel treatment for depression in preschool children.

Publisher: Wiley Country of Publication: United States NLM ID: 9708816 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1520-6394 (Electronic) Linking ISSN: 10914269 NLM ISO Abbreviation: Depress Anxiety Subsets: MEDLINE

Original Publication: New York, NY : Wiley, c1997-

Emotions* ; Parent-Child Relations* ; Personality Development*; Depressive Disorder, Major/*therapy ; Education/*methods ; Family Therapy/*methods; Checklist ; Child, Preschool ; Depressive Disorder, Major/diagnosis ; Depressive Disorder, Major/psychology ; Emotional Intelligence ; Feasibility Studies ; Female ; Humans ; Internal-External Control ; Male ; Personality Assessment ; Pilot Projects ; Treatment Outcome

Background: Psychotherapies with known efficacy in adolescent depression have been adapted for prepubertal children; however, none have been empirically validated for use with depressed very young children. Due to the centrality of the parent-child relationship to the emotional well being of the young child, with caregiver support shown to mediate the risk for depression severity, we created an Emotional Development (ED) module to address emotion development impairments identified in preschool onset depression. The new module was integrated with an established intervention for preschool disruptive disorders, Parent Child Interaction Therapy (PCIT). Preliminary findings of an open trial of this novel intervention, PCIT-ED, with depressed preschool children are reported.
Methods: PCIT was adapted for the treatment of preschool depression by incorporating a novel emotional development module, focused on teaching the parent to facilitate the child's emotional development and enhance emotion regulation. Eight parent-child dyads with depressed preschoolers participated in 14 sessions of the treatment. Depression severity, internalizing and externalizing symptoms, functional impairment, and emotion recognition/discrimination were measured pre- and posttreatment.
Results: Depression severity scores significantly decreased with a large effect size (1.28). Internalizing and externalizing symptoms as well as functional impairment were also significantly decreased pre- to posttreatment.
Conclusions: PCIT-ED seems to be a promising treatment for preschoolers with depression, and the large effect sizes observed in this open trial suggest early intervention may provide a window of opportunity for more effective treatment. A randomized controlled trial of PCIT-ED in preschool depression is currently underway.
(© 2010 Wiley-Liss, Inc.)

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R34-MH80163 United States MH NIMH NIH HHS; T32DA007261 United States DA NIDA NIH HHS; R34 MH080163-01A1 United States MH NIMH NIH HHS; T32 DA007261 United States DA NIDA NIH HHS; R34 MH080163 United States MH NIMH NIH HHS; K23 MH090245-01A1 United States MH NIMH NIH HHS

Date Created: 20110202 Date Completed: 20110523 Latest Revision: 20220316

20221213

PMC3302425

10.1002/da.20770

21284068